Undiagnosed for nearly 4 years, need some quality of life back!

Posted by sandy1234 @sandy1234, Aug 12, 2022

Hi there,
I was a fit and healthy 19 year old, when I was struck with immense nausea and upper abdominal pain, bloating and extreme fatigue to the point where I'm bed bound, and weak legs, which I can only describe as feeling as though they've been filled with concrete.

As the years have progressed, I now have heat intolerance, lesions on my scalp, my heart rate goes up over 40 beats per minute when I go from seated to standing, and yellow bruises that seem to appear on my legs for no apparent reason, and I often wake in the night with a knawing pain in my stomach like I've never eaten before.

I have seen a gastroenterologists who have ruled out crohns disease, IBS, gastroparesis, inflammation in the gut and food intolerances and have discharged me, saying there's nothing more they can do for me.

I'm at my wit's end, and have spent almost four years bed bound. No anti nausea medication helps at all, and the only medication I'm on is sleeping tablets to sleep through the pain at night, although it still wakes me during the night.
I have attached pics of the scalp lesions.
If anyone has any clue as to what this could be I would really appreciate some help as I'll be turning 23 this year, fell ill when I was 19 and just want some kind of quality of life back. Thank you so much, in advance!

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@sandy1234 - It seems so frustrating dealing with NHS.
My daughter lives in Sweden and gets the same lack of interest from the medical community.
You mentioned findings on a recent pillcam - healing ulcers and lymphangiectasia. Those are important findings for once.
The doctor can not just “ think” that it’s not causing problems, it has to be proven. Also, why have you had ulcers?
You need to see a top GI doctor to review all of your records. I’m pretty sure that you should be able to have that happen. Is there a patient service office at NHS where you can request that? All of your records should be included.
Another question- you are young and have been bed bound for 4 years- who is supporting you? Do you get government stipends? I would think that you would have to have a real diagnosis to collect government aid?

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@astaingegerdm

@sandy1234 - It seems so frustrating dealing with NHS.
My daughter lives in Sweden and gets the same lack of interest from the medical community.
You mentioned findings on a recent pillcam - healing ulcers and lymphangiectasia. Those are important findings for once.
The doctor can not just “ think” that it’s not causing problems, it has to be proven. Also, why have you had ulcers?
You need to see a top GI doctor to review all of your records. I’m pretty sure that you should be able to have that happen. Is there a patient service office at NHS where you can request that? All of your records should be included.
Another question- you are young and have been bed bound for 4 years- who is supporting you? Do you get government stipends? I would think that you would have to have a real diagnosis to collect government aid?

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Well this was myself and my parents initial thoughts when the results of the pilcam came back through the post. I wasn't given a consultation so had no doctor to speak to about the results, but looking at the ulcers and lymphangiectasia we assumed this was important. However, after complaining to get further investigation, a letter was sent stating that it's a common finding and wouldn't be causing my symptoms and needed no further investigation.
What I don't understand also is that when I had a barium meal and an ultrasound, which was probably 2 years prior to the pilcam, the lymphangiectasia didn't show up on those?
As far as support, I still live with my parents and they support and care for me. It's literally tearing my whole family apart seeing me so ill, but we're getting no further towards getting a diagnosis. Also, yes, I have been turned down for disability benefits multiple times over the years, as I don't have a diagnosis.

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@sandy1234

Well this was myself and my parents initial thoughts when the results of the pilcam came back through the post. I wasn't given a consultation so had no doctor to speak to about the results, but looking at the ulcers and lymphangiectasia we assumed this was important. However, after complaining to get further investigation, a letter was sent stating that it's a common finding and wouldn't be causing my symptoms and needed no further investigation.
What I don't understand also is that when I had a barium meal and an ultrasound, which was probably 2 years prior to the pilcam, the lymphangiectasia didn't show up on those?
As far as support, I still live with my parents and they support and care for me. It's literally tearing my whole family apart seeing me so ill, but we're getting no further towards getting a diagnosis. Also, yes, I have been turned down for disability benefits multiple times over the years, as I don't have a diagnosis.

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Just had a look at the results again, it says healing raised prepyloric erosions, not sure if that's the same as an ulcer or not?

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@tryingrealhard

Sorry you are going through this Sandy1234,

You may want to do a bit of research on Mast Cell disorders. They can affect any system but mostly gastrointestinal, skin, parasympathetic, etc.

Another thing that gets overlooked a lot is Small Intestinal Bacterial Overgrowth. It isn’t tested for a lot and can have a whole host of symptoms.

Unfortunately many doctors are not well versed in rare conditions like Mast Cell Activation Syndrome so it can be tough to get diagnosed and it sounds like you may be without good healthcare coverage at the moment. Unfortunately, due to COVID, there are many more patients out there that may have mast cell disorders that cause multi-inflammatory conditions. Cytokine storms which are a mast cell degranulation situation has been found in those with COVID so more and more doctors are learning about this. There are some relatively safe over the counter treatments like H1 and H2 antihistamines that can help if your doctor were to suspect MCAS. I have also used a lot of steroids over the years which have helped tremendously but also come with risk. Definitely consult a doctor about possibility of MCAS. Testing for it is not easy either, but favorable response to treatment is part of the diagnostic criteria for having it.

Keeping a food diary and list of triggers is very helpful, if you haven’t already.

Again, no doctor here, but I have similar issues like you described and my journey down the rabbit hole started 20 years ago while I was in my 20’s and it has been a tough road. Took me about 20 years and multiple diagnosis to find the right treatments. Doctors threw around lupus, vasculitis, connective tissues disorders, some kind of autoimmune disease, etc. It is frustrating when you don’t know for sure what it is, because you don’t know what to treat it with. It can take persistence to keep going and advocating when you don’t feel heard. You know your body. I hope you can find a doctor that will listen, have compassion, and search for answers.

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Thanks so much for the reply. I can't believe it's taken you 20 years to get a diagnosis, that must've been terrible! When you're well you just assume that if you ever fall ill you'll be given a diagnosis and treated, but this really doesn't seem to be the case for so many people. I've looked as mast cell activation before as a lot of the symptoms do fit, and tried benadryl for a while, but when I got a referral to a rhumatologist as I suggested the possibility of ehlers danlos at the time, I just had the first consultation with them but they discharged me, saying that they didn't think it was anything autoimmune???? I guess it's just finding that right doctor, who's either seen something similar before, or who actually cares enough to refer you to the right people to get the help you need.
I did keep a food diary for a long time, but didn't notice anything to do with what I ate, though it might be worth doing again at this stage.

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Just a suggestion
I had similar issues and i went gluten free on the advice of acupuncturist
I was better wiyhin a week
I tested negative for celiac but i had a gluten sensitivity. That didnt shiw up on tests .

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@sandy1234

Just had a look at the results again, it says healing raised prepyloric erosions, not sure if that's the same as an ulcer or not?

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Healing prepyloric erosions means healing ulcers- maybe superficial.

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I'm terribly sorry your life is so hard and painful. Have you been seen by any doctors at a university hospital? They seem to have the ability to take testing further and to recommend other fields of specialty's. Somewhere, there must be someone who will not give up on you and will stay with you until this thing that is zapping your life, gets figured out.

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My wife has Alzheimer's and has suffered with stomach issues such as discomfort, pain and nausea for over two years. She has had an upper GI, colonoscopy,MRI, CT and blood tests. All have come back negative. She has seen two Gastroenterologist over the years and just lately she was told that he was out of ideas.
Her stomach issues are compounded by her Alzheimer's disease and I am at a loss as to where to go for help.

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@sandy1234

Thanks so much for the reply. I can't believe it's taken you 20 years to get a diagnosis, that must've been terrible! When you're well you just assume that if you ever fall ill you'll be given a diagnosis and treated, but this really doesn't seem to be the case for so many people. I've looked as mast cell activation before as a lot of the symptoms do fit, and tried benadryl for a while, but when I got a referral to a rhumatologist as I suggested the possibility of ehlers danlos at the time, I just had the first consultation with them but they discharged me, saying that they didn't think it was anything autoimmune???? I guess it's just finding that right doctor, who's either seen something similar before, or who actually cares enough to refer you to the right people to get the help you need.
I did keep a food diary for a long time, but didn't notice anything to do with what I ate, though it might be worth doing again at this stage.

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Again, I really hope you get some answers and sooner than I did for sure😉

I did the food journal for a long time and didn’t see much of a pattern, but after many years I naturally started staying away from food that seemed to cause an issue. It is a moving goal post so sometimes it is OK and sometimes not so much. My triggers are more of cold, mechanical like vibrations from silly things like powered hand tools, lawn mower, over doing on physical exertion, and idiopathic which is no known cause. EDS, what you suspected, goes hand in hand with MCAS for many in the community.

Wish you all the best in your search for answers.

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@ddubya

My wife has Alzheimer's and has suffered with stomach issues such as discomfort, pain and nausea for over two years. She has had an upper GI, colonoscopy,MRI, CT and blood tests. All have come back negative. She has seen two Gastroenterologist over the years and just lately she was told that he was out of ideas.
Her stomach issues are compounded by her Alzheimer's disease and I am at a loss as to where to go for help.

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A naturopath suggested eliminating all grains and reminded me that potatoes are a nightshade vegetable, which can be challenging to sensitive stomachs. Very helpful when I’m able to follow his advice to the letter. Good luck!

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